Evidence supporting the use of: Dong quai
For the health condition: Dysmenorrhea

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Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Dong Quai (Angelica sinensis) has a long history of use in traditional Chinese medicine (TCM) for gynecological disorders, including dysmenorrhea (painful menstruation). In TCM, Dong Quai is often referred to as the “female ginseng” and is thought to “nourish the blood,” regulate menstruation, and alleviate menstrual pain. Historical texts and herbal compendia from China describe its use in compound formulas to address menstrual irregularities and cramps.

While animal and in vitro studies have suggested possible antispasmodic, anti-inflammatory, and vasodilatory effects of Dong Quai, evidence from well-conducted human clinical trials remains limited and inconclusive. A few small-scale studies and case series have explored its efficacy, often in combination with other herbs, but there is insufficient high-quality clinical data to definitively support its effectiveness for dysmenorrhea. Most systematic reviews and meta-analyses conclude that more rigorous research is needed.

Therefore, Dong Quai’s use for dysmenorrhea is primarily justified by traditional practice rather than robust scientific validation. Safety concerns also exist, including potential interactions with anticoagulants and other medications. Anyone considering Dong Quai should consult a qualified healthcare provider, especially if they have underlying health issues or are taking other medications.

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